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Mental Health Act: Involuntarily Admitted Patients (14:VII): Difference between revisions

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Such a challenge occurred in Ontario, in P.S. v. Ontario, 2014 ONCA 900, where the constitutionality of the provisions of the Mental Health Act, R.S.O. 1990, c. M.7 providing for involuntary committal as they apply to long-term detainees, was challenged and found to violate s.7 of the Charter. The judgement stated that the patient must be provided meaningful procedural avenues to seek the accommodation and treatment they need to be rehabilitated, while being involuntarily detained, and the province cannot wield the power to detain mental health patients indefinitely where such procedural protections are absent. This will likely change the role patients themselves play in determining the course and nature of their treatment in Ontario; however it is unclear as of now what effect this may have in British Columbia.
Such a challenge occurred in Ontario, in P.S. v. Ontario, 2014 ONCA 900, where the constitutionality of the provisions of the Mental Health Act, R.S.O. 1990, c. M.7 providing for involuntary committal as they apply to long-term detainees, was challenged and found to violate s.7 of the Charter. The judgement stated that the patient must be provided meaningful procedural avenues to seek the accommodation and treatment they need to be rehabilitated, while being involuntarily detained, and the province cannot wield the power to detain mental health patients indefinitely where such procedural protections are absent. This will likely change the role patients themselves play in determining the course and nature of their treatment in Ontario; however it is unclear as of now what effect this may have in British Columbia.


The Mental Health Law Program (MHLP) at CLAS assists involuntarily admitted patients at review panel hearings. Access Pro Bono (APB) is also starting a Mental Health Program for clients who have been detained under the MHA and who are unable to obtain legal representation through CLAS. All referrals will first be made through the MHLP/CLAS. If CLAS is unavailable, they will refer the patient to APB. APB will then attempt to find volunteer lawyers and law students to legally represent the patient at his or her scheduled Mental Health Review Board Hearing (see [[Governing Legislation and Resources for Mental Health (14:II) | Resources section]] of this Chapter or [[General Legal Help Resources (22:I) | Chapter 22: Referrals]]).  
The Mental Health Law Program (MHLP) at CLAS assists involuntarily admitted patients at review panel hearings. Since 2017, the Attorney General has agreed to fund representation for all involuntarily detained patients who cannot afford counsel at their Review Panel hearings. If CLAS is unavailable to make these representations, they have a roster of contracted lawyers who may provide counsel as well. Access Pro Bono also provides telephone assistance for people who are facing involuntary detention and want to know their rights under the MHA.


Section 22 of the MHA provides that a person may be admitted involuntarily and detained for up to 48 hours. The person must first be examined by a doctor and the doctor must provide a medical certificate stating that he or she is of the opinion that the person has a mental disorder and requires treatment to prevent "the substantial mental or physical deterioration" of the person or to protect that person or others. A second  doctor must provide a second certificate for the person to be detained longer than the initial 48 hours. ''Mullins v Levy'' 2009 BCCA 6, the  leading case in this area, applied a broad definition of “examination” and stated that the MHA does not require a personal interview of the patient in every instance. However, a patient is entitled to request a review hearing according to certain prescribed periods that depend on the length of time the patient has been detained or that his or her detention has been renewed.  
Section 22 of the MHA provides that a person may be admitted involuntarily and detained for up to 48 hours. The person must first be examined by a doctor and the doctor must provide a medical certificate stating that he or she is of the opinion that the person has a mental disorder and requires treatment to prevent "the substantial mental or physical deterioration" of the person or to protect that person or others. A second  doctor must provide a second certificate for the person to be detained longer than the initial 48 hours. ''Mullins v Levy'' 2009 BCCA 6, the  leading case in this area, applied a broad definition of “examination” and stated that the MHA does not require a personal interview of the patient in every instance. However, a patient is entitled to request a review hearing according to certain prescribed periods that depend on the length of time the patient has been detained or that his or her detention has been renewed.  
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